| NPI | 1427103399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209008337) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 221109) |
| 163W00000X Registered Nurse (Licence: IL 041-302400) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 676455) | |
| 163W00000X Registered Nurse (Licence: TX 676455) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 100018-C) | |
| 163W00000X Registered Nurse (Licence: AK 221109) | |
| 171000000X Military Health Care Provider (Licence: CA 3619) | |
| 163W00000X Registered Nurse (Licence: CA 680124) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3619) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2026-01-15 |